Individual
DR. JOY GAYLE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2100 CALDWELL BLVD, NAMPA, ID 83651-1510
(208) 465-5542
(208) 463-1724
Mailing address
622 E MAIN ST, MIDDLETON, ID 83644-3080
(208) 585-9500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-742
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000308800
—
ID
Enumeration date
05/18/2006
Last updated
03/14/2019
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